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DR DINA IBRAHIM FOOT & ANKLE SURGERY LLC
NPI 1619595659
Podiatrist - Foot & Ankle Surgery in North Bergen, NJ

Active since July 07, 2020
7600 RIVER RD, NORTH BERGEN, NJ 07047(973) 870-0777 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2021, Jul 7, 2020 (2 updates tracked since 2020).

About Dr Dina Ibrahim Foot & Ankle Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR DINA IBRAHIM FOOT & ANKLE SURGERY LLC (NPI 1619595659) is a healthcare organization registered as a foot & ankle surgery in North Bergen, New Jersey and active in the NPI registry since July 2020. The organization lists Derek Mercer, Credentialing Executive, as its authorized official.

NPPES Registry Identity

NPI1619595659
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDR DINA IBRAHIM FOOT & ANKLE SURGERY LLC
Location Address7600 RIVER RDNorth Bergen, NJ 07047-6217
Mailing Address11 Humphrey AveBayonne, NJ 07002-7311
Phone(973) 870-0777
Organization SubpartNo
Authorized OfficialDerek MercerCredentialing Executive · (718) 841-7318
Enumeration DateJuly 7, 2020
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1619595659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
7600 RIVER RD, North Bergen, NJ 07047
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE ANGELA MARIANO PANGGAT
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 710-2762
DR. NAMRATA NARENDRAKUMAR NIKUM MD
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5000
MADELINE TCHACK
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5000
AMBULATORY CENTER FOR ENDOSCOPY, LLC
Clinic/Center (Ambulatory Surgical)
7600 RIVER RD, 4TH FLOOR
NORTH BERGEN, NJ 07047
Hudson County (201) 705-1080
NICOLE JORDAN M.D.
Internal Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5005
MR. HEE CHANG SUNG M.D.
Anesthesiology
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5172
OLIVIA SHANEE GRANT MD
Emergency Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5100
FARYAAL BOKHARI MD
Family Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Hudson County (201) 854-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Dina Ibrahim Foot & Ankle Surgery LLC's NPI number?

The NPI number for Dr Dina Ibrahim Foot & Ankle Surgery LLC is 1619595659. It was assigned to this organization in the NPPES registry on July 7, 2020.

Where is Dr Dina Ibrahim Foot & Ankle Surgery LLC located?

Dr Dina Ibrahim Foot & Ankle Surgery LLC is located at 7600 River Rd, North Bergen, NJ 07047. The listed phone number is (973) 870-0777.

What is Dr Dina Ibrahim Foot & Ankle Surgery LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Dr Dina Ibrahim Foot & Ankle Surgery LLC was last updated on April 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.